Individual provider Active NPI

Vania P Rudolf, MD

  • Addiction Medicine (Family Medicine) Physician
  • Seattle, WA
National Provider Identifier
1104053727
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD60225581 Issued in WA
Practice address
5300 Tallman Ave NW
Addiction Recovery Service, Swedish Medical Group
Seattle, WA 98107-3932
Phone
(206) 781-6209
Fax
(206) 781-6183
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 60225581 WA
Family Medicine Physician 207Q00000X MD60225581 WA
Addiction Medicine (Family Medicine) Physician 207QA0401X MD60225581 WA Primary

Addresses

Primary practice location

5300 Tallman Ave NW
Addiction Recovery Service, Swedish Medical Group
Seattle, WA 98107-3932

Mailing address

600 University St
Suite 1200
Seattle, WA 98101-1176
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
2014906MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vrudolf1043110@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111123000691 WA Practitioner - Addiction MedicinePractitioner - Family PracticePractitioner - Obstetrics/Gynecology 1456525682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice, Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

515 Minor Ave
Seattle, WA 98104-2133

5300 Tallman Ave NW
Suite 2E
Seattle, WA 98107-3932
Phone (206) 781-6010

5300 Tallman Nwave
Seattle, WA 98107-3932
Phone (206) 782-2700

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60225581WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Addiction Medicine CurrentSince Sep 13, 2011 Accepting new patients
Swedish Health Services Specialist CurrentSince Oct 24, 2011 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900

600 University St
Ste 1200
Seattle, WA 98101
Phone (206) 320-2568

800 5th Ave
Ste 600
Seattle, WA 98104

5300 Tallman Ave NW
Seattle, WA 98107
Phone (206) 781-6209

Interoperability endpoints

  • Direct secure messaging: vrudolf1043110@wm.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1104053727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY ST",
            "address_2": "SUITE 1200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011176",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 TALLMAN AVE NW",
            "address_2": "ADDICTION RECOVERY SERVICE, SWEDISH MEDICAL GROUP",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073932",
            "telephone_number": "206-781-6209",
            "fax_number": "206-781-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLF",
        "first_name": "VANIA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "60225581",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60225581",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD60225581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014906",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vrudolf1043110@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5300 Tallman Ave NW",
            "address_2": "Addiction Recovery Service, Swedish Medical Group",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981073932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.